DURO-MED GAM STERILE BURN BLANKET 60" X 90"

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-05-15 for DURO-MED GAM STERILE BURN BLANKET 60" X 90" manufactured by Briggs Medical.

Event Text Entries

[75417077] There is no expiration date or shelf life data on the packaging for this product. Sterile burn sheet 60" x 96" crumbled when we removed and applied it to the pt. Blue dust was in the wounds. Pt was a trauma code with extensive burns. Burn cart was pulled into the room to use the supplies in the cart. The sterile burn sheet was removed from the cart and removed from its sealed package. Upon putting it on the pt the sheet disintegrated on top of the pt. It was immediately removed by staff but small blue fibers from the sheet were left on the pt's body in burned areas. Pt was estimated to have 70% burns on his body. There is no expiration date or mention of shelf life on the packaging. There is a lot number. After research there was a safety notice sent in 1997 referencing product issues after 3 years from the manufacture date. The manufacture date is part of the lot number. Also learned from research of product. All the burn sheets were from 2013 and 2012. Diagnosis or reason for use: burn.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5069810
MDR Report Key6572188
Date Received2017-05-15
Date of Report2017-05-03
Date of Event1996-03-28
Date Added to Maude2017-05-17
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameDURO-MED GAM STERILE BURN BLANKET
Generic NameBURN BLANKET
Product CodeFPY
Date Received2017-05-15
Model Number60" X 90"
Lot NumberJT12513
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerBRIGGS MEDICAL


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-05-15

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